Oxymorphone And Hydromorphone

Updated

I have posted before about these meds which are the most effective rescue meds available (though not here in the UK) from my OxyContin, which only lasts a maximum of six hours and not the 12 as stated on the box, so need up to three rescue dosages of a suitable 4-hour action analgesic daily.
First, can anybody tell me if the much cheaper TEVA US generic oxymorphone is up to the quality standard of the excellent Endo IR OPANA 10mg (and occasionally I need 5mg tablets as well)?
What is the best value for money brand of hydromorphone IR high dosage (4mg and 8mg)? I know that the original Abbott/Purdue DILAUDID is by far best, but I hear good things about Ethex and Mallinckrodt's generics. Mallinckrodt also tend to be a lot cheaper than most generic opioids.
Finally, how on earth can I get a regular supply sent to me from the United States? Oxymorphone is not licenced for use in any other country so I MUST access it there, and almost everywhere else limits IR hydromorphone to the Palladone 2.6mg capsule, nowhere even close to the sort of dosage I need - five capsules giving 13mg is about the correct dosage but I can not find any doctor who is willing to prescribe me fifteen capsules daily, five prn.

Somebody please HELP! I have been in this position for a good while now and simply getting IR oxycodone does not do the job properly, I think I NEED a different analgesic. DICONAL has been taken off the market and it is very difficult to find generic dipipanone and cyclizine tablets. Three of those is a good enough dose for me, as it is with PALFIUM (dextromoramide) for which I must now travel to the Netherlands as it is slowly disappearing from the formularies of most countries. As for diamorphine, I need five x 10mg tablets per dose because of the incredibly low oral bioavailability. And nobody will prescribe me the powder, though I do know several people who are prescribed H Hydrochloride powder 100mg and 500mg vials of powder for reconstitution. (Original Bayer brand). The generic powder seems slightly less powerful. Please help me find a doctor who is willing to prescribe the tablets I have been seeking now for several years.

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